| Regimental number | 4783 |
| Place of birth | Birmingham England |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Cmm Princes Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Uncle, F Moult, Battersea, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
